Health Care Delivery

This week, the top stories in managed care all revolved around the election. Donald Trump's presidency means the Affordable Care Act is expected to be replaced; voters in Colorado rejected a single-payer system; medical marijuana was passed in 4 states; and taxes for soda and tobacco had mixed responses from the states.

What we're reading, November 11, 2016: Medicare premium increases lower than expected for high earners; HHS' Office of Inspector General will increase pharmaceutical oversight; and a study on the safety of mail-order abortion pills.

The ban on insurers using pre-existing conditions to deny coverage is hugely popular with voters in both parties.

What we're reading, November 10, 2016: right-to-die supporters start eyeing the next states; healthcare winners and losers after the election; and women are promoting birth control access before the Affordable Care Act is dismantled.

By a large margin, voters in Colorado defeated a proposal to replace the Affordable Care Act with a single-payer system in the state.

As the Republicans retained control of both the House and the Senate and Donald J. Trump was declared the next president of the United States, it became abundantly clear that President Barack Obama’s landmark healthcare reform legislation was in grave danger.

What we're reading, November 8, 2016: the US may not have a doctor shortage, it may just have an inefficient health system; there is a gap between the richest and poorest countries when it comes to spending on essential medicines; and scientists start another Zika virus vaccine test.

During the presidential election, healthcare will be top of mind especially for patients with access issues or significant health issues, Eleanor Perfetto, PhD, senior vice president of strategic initiatives for the National Health Council. As long as patients feel the healthcare system is engaging them and listening to them, they don't care what it is called.

Prices rising for the same drug across multiple pharmaceutical companies might be the result of collusion, according to a letter sent to the Department of Justice and the Federal Trade Commission from Senator Bernie Sanders, I-Vermont, and Representative Elijah Cummings, D-Maryland.

What we're reading, November 4, 2016: Public option gains momentum among Democrats; a new Veterans Affairs clinic is dedicated to women's health; and Sutter Health in California attempts to prevent lawsuits.

What we're reading, November 3, 2016: gubernatorial races could expand Medicaid in 3 more states; genetic testing wastes billions of dollars; most popular Facebook posts on the Zika virus contained inaccurate information or conspiracy theories.

Obesity is more than just a lifestyle disease. Ted Kyle, RPh, MBA, principal at ConscienHealth, explained that understanding its complexities as well as the behavioral and physical care it requires is essential in improving the health and productivity of employees.

The WalletHub scores examine overall obesity rates, health indicators such as diabetes and cholesterol, and habits such as fruit and vegetable consumption.

What we're reading, November 2, 2016: Donald Trump attacks Obamacare while drug makers pour funding into Republican candidates, and Anthem considers reducing Affordable Care Act participation and is under fire in California for auto-renewals.

A total of 27 million Americans under the age of 65 remain uninsured, and 43% of them are eligible for financial assistance through the Affordable Care Act either by enrolling in Medicaid or through subsidies for purchasing coverage.

What we're reading, November 1, 2016: despite law, women in California still struggle to access birth control; Americans mostly believe obesity can be fixed through willpower; and Facebook is going after pharmaceutical advertisements.

The Affordable Care Act has helped reduce uninsurance, but has replaced it with underinsurance. Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and director of the Healthcare Markets and Regulation Lab in the Department of Health Care Policy at Harvard Medical School, explains how to address this new problem

Various stakeholders in the healthcare industry are trying to determine value in healthcare, and speakers representing the pharmaceutical industry, research, and the patient perspective discussed the topic during the VBID Summit.

A new report looks at how Medicaid in states that expanded the program are pursuing alternative payment models in order to better respond to the complex health and social needs of beneficiaries.

What we’re reading, October 31, 2016: a CDC survey found that although almost 4 in 5 physicians have electronic health record (EHR) systems in place, only one-third use them; Community Health Options, an ACA Marketplace exchange in Maine, will no longer cover elective abortions; CMS improves its Dialysis Facility Compare website and adds patient ratings.

Karin VanZant, executive director of Life Services at CareSource, said that social needs are inherently interconnected and by focusing on 1 particular area, the various other factors are bound to be addressed as well.

Underinsurance is a byproduct of the many changes being brought to the healthcare system, said Robert W. Dubois, MD, PhD, chief science officer and executive vice president of the National Pharmaceutical Council, during a session at the VBID Summit.

A new study by Avalere Health identified the key challenges facing health insurance exchanges created by the Affordable Care Act (ACA) and considers a range of potential policy options that could be combined to improve the sustainability of the market into the future.

This week, the top stories in managed care included an announcement that premiums on Obamacare plans are set to increase by 25% on average, a discussion of Medicare Advantage growth at America's Health Insurance Plans' National Conference on Medicare, and recommendations for success with the Oncology Care Model.

Frustration with high prescription drug prices remains an issue that cuts across party lines. Majorities of Democrats, Republicans, and independents want the government to protect access to high-cost treatments for those with chronic conditions.

At the fall live meeting of the ACO & Emerging Healthcare Delivery Coalition in Philadelphia, Pennsylvania, attendees heard presentations and participated in workshops that discussed care management, value-driven payment systems, and the future of healthcare.

For millions, the Affordable Care Act promised relief from the expenses of contraception. So why are many still not feeling it?

What we're reading, October 27, 2016: the number of counties with just 1 Obamacare insurer will skyrocket in 2017; Teva and IBM partner for 2 projects; and the United States may never be able to rid itself of the Zika virus.

Challenges outlined by healthcare experts back in 2010 are coming to pass, as young adults do not see the current penalties for going without coverage as enough incentive to become insured.

What we’re reading, October 26, 2016: AAP advises that parents take measures to reduce the risk of SIDS; Republican presidential nominee Donald Trump reacts to ACA premium hikes announced by HHS; patients with ALS volunteer for an accelerated study on the effects of a dietary supplement.